Provider Demographics
NPI:1831514603
Name:FOSTER, ROBBIN WEBBER (LCSW (MSW))
Entity type:Individual
Prefix:
First Name:ROBBIN
Middle Name:WEBBER
Last Name:FOSTER
Suffix:
Gender:F
Credentials:LCSW (MSW)
Other - Prefix:
Other - First Name:ROBBIN
Other - Middle Name:LYNN
Other - Last Name:WEBBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:470 N.E. 'A' ST.
Mailing Address - Street 2:ST. CHARLES HOSPICE
Mailing Address - City:MADRAS
Mailing Address - State:OR
Mailing Address - Zip Code:97741
Mailing Address - Country:US
Mailing Address - Phone:541-420-8673
Mailing Address - Fax:541-475-0602
Practice Address - Street 1:470 NE 'A' ST.
Practice Address - Street 2:ST. CHARLES HOSPICE
Practice Address - City:MADRAS
Practice Address - State:OR
Practice Address - Zip Code:97741
Practice Address - Country:US
Practice Address - Phone:541-420-8673
Practice Address - Fax:541-475-0602
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-03
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORLCSW#1122(001122)1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical